SHIP Technical Assistance Webinar Maximizing SHIP Funds Federal Office of Rural Health Policy Update Call 1-877-273-4202, Room 914983637# Speakers: Bridget Ware, FORHP Shari Wyatt, Texas State Office of Rural Health Dawn Waldrip, Georgia State Office of Rural Health Agenda • Welcome • Federal Update • SHIP State Spotlight: Texas SHIP Funded Handheld Ultrasound Project • SHIP State Spotlight: Georgia How to Maximize SHIP Funding Through Consortia/Networks • Q & A • Closing Comments This project is/was supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number UB1RH24206, Information Services to Rural Hospital Flexibility Program Grantees, $1,100,000 (0% financed with nongovernmental sources). This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.
Transcript
SHIP Technical Assistance Webinar
Maximizing SHIP FundsFederal Office of Rural Health Policy Update Call 1-877-273-4202, Room 914983637#
Speakers: Bridget Ware, FORHPShari Wyatt, Texas State Office of Rural Health Dawn Waldrip, Georgia State Office of Rural Health
Agenda• Welcome • Federal Update • SHIP State Spotlight: Texas
SHIP Funded Handheld Ultrasound Project • SHIP State Spotlight: Georgia
How to Maximize SHIP Funding Through Consortia/Networks • Q & A • Closing Comments
This project is/was supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number UB1RH24206, Information Services to Rural Hospital Flexibility Program Grantees, $1,100,000 (0% financed with nongovernmental sources). This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.
Federal Update
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Texas State Office of Rural Health
RURAL HOSPITALS
ROCK !
Texas State Office of Rural Health
• Discussion:
• Texas State Office of Rural Health Staff
• Overview of the Texas State Office of Rural Health Grant Programs
• Texas State Office of Rural Health – Hand Held Ultrasound Project
• Purpose: This grant is designed for hospitals to make capital improvements to existing facilities, construct new health facilities, and to purchase capital equipment including hardware and software.
• The program is specifically for public or non-profit hospitals in counties with a population of less than 150,000 residents.
2016-2017 CIP PROJECTS HIGHLIGHTS
16-008 Collingsworth County Hospital- Construction
16-014 Coon Memorial Hospital-Ambulance
16-030 Iraan Hospital-Lab Equipment
16-026 Seymour Hospital-EMS Equipment
2016-2017 SHIP PROJECTS HIGHLIGHTS
• Source: (HRSA) Office of Rural Health Policy (ORHP)
• FY 2017: 105 applications received (now 103 projects due to 2 hospital closures)
• FY 2018: 110 applications received
2016-2017 SHIP PROJECTS HIGHLIGHTS
17-085 Sweeny Community 17-086 Swisher Memorial 17-087 Brownfield Regional
RURAL HOSPITALS ROCK !
Special Project: Hand Held Ultrasound Project
Hand Held Ultrasound Project
• Project Development:
• 2015-16 Carryover Request: $95,213
• Contracted with Texas Tech University Health Sciences Center
• Project Director – Traci Butler Carroll
• Majority of the budget purchased 8 Vscan Extends (POCUS) units
• Training & Equipment Routing Zones:
• Project Participants: 67 SHIP hospitals
Hand Held Ultrasound Project
• Training for Point of Care Ultrasound (POCUS):
• 4 Live Training Sites – Hallettsville (May), Amarillo (June), Odessa (Aug.), Groesbeck (Sept.)
• 4 Training Webinars
• Total Training Participants: 159*• (radiologists, physicians, ER physicians, DO, RN)
Hand Held Ultrasound Project
• Routing of Point of Care Ultrasound (POCUS) Devices:
• Participating hospitals use POCUS devices
• Average 4 weeks, Any department, Any hospital staff
• Data Sheet Survey:
• Life Possibly Saved as a Result of Project:
Hand Held Ultrasound Project
• Project Findings:
• Hand Held Ultrasound Project Completion:
• Final Evaluation Report – June 2018
• Current Findings from the Project Training Sessions and Equipment Routing:
• Hospital contacts stressed importance of more POCUS training
• Several hospitals want to purchase POCUS
• State Office of Rural Health
• GE Vscan Extend - Bulk Pricing with SonoSim Training: (Images: Sonosim.com)
Hand Held Ultrasound Project
• Conclusion:
• 1816 Invention of the Stethoscope - HEAR• 1816 - The stethoscope was invented in France in 1816 by René Laennec at the Necker-Enfants Malades Hospital in Paris. It consisted of a
wooden tube and was monaural. Laennec invented the stethoscope because he was uncomfortable placing his ear on women's chests to hear heart sounds.
• Point of Care Ultrasound (POCUS) - SEE
• “POCUS – the Modern Stethoscope”
• American Academy of Family Physicians – AAFP Reprint No.290D
• Recommended Curriculum Guidelines for Family Medicine Residents - POCUS
• State Office of Rural Health
• Special Thanks! – Federal Office of Rural Health Policy
• Special Thanks! – Texas Tech University Health Sciences Center
https://en.wikipedia.org/wiki/Stethoscope
Texas
State
Office of
Rural
Health:
“CARING
FOR
THOSE
WHO
CARE
FOR
OTHERS!”
THANK
YOU !
Photo: Hamilton General Hospital
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MissionThe mission of the Department of Community Health is to
provide access to affordable, quality health care to
Georgians through effective planning, purchasing,
and oversight.
We are dedicated to A Healthy Georgia.
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Georgia SORH
Today’s Objectives
➢Provide an overview of Georgia’s process for networking
hospitals together
➢Share “best practices” for engaging hospitals
➢Review Georgia’s SHIP funded projects
➢Explain how SHIP funds are utilized to support projects
➢Share lessons learned
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Georgia SORH
Where we are
Georgia’s SHIP program is managed by the State Office of Rural
Health, a Division of the Department of Community Health.
Georgia SORH is located in Cordele, Georgia, a small rural farming community in Crisp County with a population of 10,856. We are known as the Watermelon Capital of the World.
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Georgia SORH
Who We Serve .SORH
.
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Determine Hospital NeedsPriorities based on the triple aim
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Developing our SHIP Program
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Georgia’s Six Consortia!
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Georgia’s Best Practice - Engagement
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Grant Options – Direct or Consortium
Direct
Hospital is the grantee
• Project development
• Project fulfillment
• Reporting accountability
• Invoice
• Payment to hospital
• Flexibility – with SORH
approval changes in project
may be allowable
Consortium
Consortium is the grantee
• Project already developed –
pooling resources provides
greater value
• Engage hospital in project
fulfillment
• Reporting accountability
• Invoice
• Payment to consortium
• Changes are not allowed after
grant execution
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Follow Up
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Webinar Results
75% Chose Consortium
Direct Grantees –
14 Hospitals
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What’s the Hook?
Noun
1. A piece of metal or other material, curved
or bent back at an angle, for catching
hold of or hanging things on. "a picture
hook“
2. A thing designed to catch people's
attention.
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➢ Healthcare attorneys and consultants with 20+ years experience in
telehealth law and consulting will provide an on-site consultative survey of
the existing telehealth program as well as interview key leadership
regarding opportunities for strategic growth.
➢ Support local attorney in considering legal / compliance factors such as:
✓ Establishing the Patient Relationship✓ Prescribing via Telemedicine✓ Licensure✓ Privacy/HIPAA✓ Standard of Care✓ Scope of Practice✓ Consent to Treat✓ Kickback Issues in Transactions
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The goal of this project is to equip hospital leadership with an enhanced
understanding of where the hospital is winning and losing financially.
Project areas focus on:
•What drives institutional profitability?
•Which services produce value?
•How do service costs compare to negotiated and fixed reimbursement
arrangements?
•Do feasible growth opportunities exist?
•Would it be beneficial to reduce or eliminate certain services?
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• Care Transitions• Medication Education• Pain Management
• Communication Training for ED Staff
• Reducing Wait Time/ Increasing ED
Efficiency
• Lean Your ED
• Modify Current Pain Management
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Revenue Cycle Process Improvement - ICD-10 Ongoing Education -
Provider Audits & Training - Provider/Coder/Biller Rural Health Certification
The Association for Rural Health Professional Coding (ARHPC) strives to sustain the profitability and sustainability of our rural hospitals. The goal of ARHPC is to provide Georgia's healthcare community, including clinicians, coders, revenue cycle staff, and other financial reimbursement professionals with access to low-cost, high quality education and compliance services related to healthcare business operations.
What's new: Become a Certified Rural Health Medical Auditor or a Rural Health-
Coding & Billing Specialist (RH-CBS) via online self-study courses. Clinical
Providers and/or Compliance Team can become certified in the nation's only rural
health specific curriculum on their own time and downtime from work.
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Transformation Consortium built around the “Triple Aim” – Improving the US
health care system requires the simultaneous pursuit of three aims: improving the experience of care, reducing per capita costs of health care, and improving the health of populations.
Quarterly Webinars for:
➢ Population Health Leadership➢ Care Management➢ IT Infrastructure and Data➢ Population Health Finance & Operations➢ Wellness & Disease Management➢ Provider Quality➢ Financial Stability Training & Support Pick One Project:
Retrospective Coding Audits On-site Chargemaster Evaluation and
Report HCAHPS Vendor Support - $2,500
Direct to Hospital Chronic Care Management
Implementation Training and Support
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Direct Grantees
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Logistics
Consortia are considered “Subscription Services” for programing which extends throughout the grant period - Consortiums are paid for the number of hospitals
participating in their program.
A workplan, budget, one invoice and quarterly reports are required
For Example:
HomeTown Health has 14 participating hospitals
14 X $9,000 = $126,000
Direct Grantees submit one invoice
A final report is required
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And finally… we’ll share
from your Hospital Services Team:
Dawn Waldrip
Program Operations SpecialistGeorgia State Office of Rural [email protected]
Lisa Carhuff
Director, Hospital ServicesGeorgia State Office of Rural Health
